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Tortuguero National Park located on the Caribbean coast of Costa Rica is only accessible by boat or air and attracts an average of 130,000 visitors yearly. The main activity of the park is the turtle nesting and hatching along the beaches as well as the observation of wildlife in the channel sys- tem. This makes it important to study the CO2 emitted by the tours operating in the park. To cal- culate these emissions researchers gathered data on engine type, horsepower and duration of idle while boats waited to buy tickets at the park entrance. The study found that tour operators emit- ted a minimum of 5.5 tons of CO2 per year into the atmosphere and water. It is likely that the park is more polluted than immediately evident.
feeding disorders are common among children, which sometimes become
progressive, and consequently, children may refuse to eat anything. Parents
have lots of difficulties to reset such a disturbed eating pattern. The aim of
this study was to perform an analysis of clinical intervention in behavioral
feeding disorders in young children. Methods: We conducted a retrospective
analysis of data of 28 children aged 1 - 9 years with behavioral feeding disorders.
A pediatrician and pediatric social worker conducted the training in two
groups: outpatient or inpatient setting. Both groups were treated with parental
education and guidance. The inpatient group also had a temporarily (2 weeks)
resetting of the pedagogic climate in a pediatric ward of a general hospital
under guidance of a pediatric social worker. Results: Almost all parents were
inconsistent in applying appropriate behavioral contingencies during meals.
Eleven patients followed 8 months of outpatient treatment and 25 patients
followed 2 weeks of inpatient treatment. The overall success rate of outpatient
treatment after 2 weeks was 18%, and that of inpatient treatment after 8 months
was 88%. The corrected relapse rates are 18% and 56% respectively after 6
months. Conclusion: Short clinical intervention in a structured pedagogic
environment is a successful treatment in behavioral feeding disorders.
Herewith, pediatricians have a powerful tool for treating behavioral feeding
disorders by temporarily resetting and changing the pedagogic climate.